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HomeMy WebLinkAboutElectrical PermitTOWN OF~ ~--·---·-- Department of Community Development 75 South Frontage Road West Vail, CO 81657 Tel: 970-479-2139 www.vailgov.com ELECTRICAL PERMIT Electrical Permit Submittal Requirements Including Heat Tape Installation _Floor plan I Site plan showing proposed work _Load Calculations and one-line diagram when loads or circuits are being added _Occupancy Group listed on plans _Building Type NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: 4593 Bighorn Road #A-W (Number) (Street) (Suite#) Building/Complex Name: Woodbridge Townhouse (No HOA) Project Information: Owner Name: FRC3, LLC --------------------~ Parcel #2101-124-17-013 (For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) Contractor Information Business Name: Matthew King ------------------ Business Address: P.O. Box 5601 ----------------- City Vail State: CO Zip: 81658 --- Contact Name: Matt King ------------------ Cont a ct Phone: 970-471-6411 (mobile) Contact E-Mail: mking1881@msn.com Project#:----------------- Building Permit#:--------------- Electrical Permit#:-------------- Lot#: Block# Subdivision:-------- Define Scope and Location of Work: Add 120 VAC connection in existing fireplace cavity for gas fireplace insert power supply. (use additional sheet if necessary) I hereby acknowledge that I have read this application, filled out in full the Includes Temporary Service: ((}Yes information required, completed an accurate plot plan, and state that all (e') No the information as required is correct. I agree to comply with the infor- mation and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Code~nces of the To~n applicabl thereto. x ~~___::: . Owner/Owner's R r entative gnature (Required) Applicant Inform tionu_.v-~\.1..,.,,.. ~~ c.:_k_ ... W Applicant Name: ~fYl~~~h~e~v~tEAf~·~g::fn~r=E:::1e~::J!:' l~l~~=----- Work Class: New (l) Addition (\) Remodel (\) Repair(\) Other (\e) Changing woodburning fireplace to gas ins Type of Building: Single-Family (0, Duplex (le) Multi-Family (() Commercial (() Restaurant((} Other(')--------- Provide BOTH square footage of area of work Applicant Phone: 97Q 828 501-§ AND Valuation (Labor & Materials) Applicant E-Mail: mkin91881@r:nsn cam bv..r~p~<t>tc.,i,J, ~unt of SQ Ft~--'----.;._/ _O_C) _______ _ Additional Authorized Projectoox Users Full Name: Mike Burnett-Burnett Plumbing Heating Electric E-Mail: burnettphe@icloud.com Full Name: Colorado Comfort Products E-Mail: Sharon@1ccp.com For Office Use Only: ,. \:t ~ Fee Paid:-------~_,__· _l_l_~----­ Received From:---------------- Cash Check # ___ _ CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _ Rev. 2015-Dec Electrical$: 366.50 ----------------- Date Received: MAY 2 '7 2016 TOWN OF VAil